What are the medical advantages/disadvantages of metoprolol vs. toprol besides the convenience? I am taking toprol in the a.m. but many of my palpitations are when I'm sleeping (I wake up in the middle of the night with them) and am wondering if taking the toprol in the evening would be more effective. I know that it is supposed to last 24 hours but it must tail off toward the end, which would be when I need it the most.

I'm taking aspirin now but what do you think of vitamins E and C and garlic supplements as blood thinners? My episodes don't last anywhere near the 48 hour mark which is supposed to be the point when clotting becomes a concern (is this still correct?)but the episodes are frequent and the cardio is bringing the issue of coumadin at some point.

I read where someone said that he believes via his MD that exercising while in afib helps decrease the chance of clotting because it increases the circulation. Opinion?

Sorry to hear about your atrial fibrillation. When seeing patients who experience symptoms in the evening such as yours, we sometimes prescribe a twice a day dose of Toprol XL. However, you should discuss this with your doctor.

Vitamins E and C are ineffective blood thinners. Though your episodes don't seem to last over 48 hours it is possible for you to be experiencing asymptomatic episodes which last longer.

Atrial fibrillation is associated with a yearly ~5% risk of stroke in high risk individuals. People who are over the age of 60, have diabetes, hypertension, prior stroke,congestive heart failure or structural heart disease should be treated with coumadin. I would recommend discussing your concerns with your cardiologist. You may also consider seeing an electrophysiologist (EP), which is a cardiologist specializing in rhythm disturbances. Hope you feel better.

The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.